JASON P CORK

LA CROSSE, WI
NPI1598022048
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: WI  167070-30)
Enumeration Date2012-04-20
Last Update Date2012-04-20
Business Address
-- JASON P CORK ADRN
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number: 608-785-6266
Mailing Address
-- JASON P CORK ADRN
1407 SAINT ANDREW ST STE 100
LA CROSSE, WI 54603-2378
Phone number:
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